Services for Rehabilitation Service Providers
Proactive is the budget-friendly answer to results oriented clinical, regulatory, and reimbursement compliance. Our talented team offers the support solutions that allow your staff to focus on care.
Proactive Partners with Therapy Providers
As an independent consulting firm specializing in post-acute rehabilitation, our team assists contract therapy companies, in-house SNF therapy programs, and outpatient clinics manage compliance and medical review preparedness. We help providers to:
- Ensure Regulatory Compliance
- Manage Clinical Operations
- Achieve Medical Review Success
- 3rd Party Audits
- Advance Documentation and Coding Skills
- Respond to Payer Audits and Investigations
- PDPM Transition Education
- Provide Independent Review Organization (IRO) Services
Having Proactive as a routinely scheduled resource has allowed our facility to make positive change to an in-house program. Proactive doc audits, staff training, and regulatory reviews have all been an important part of our transition. Click here to read more testimonials.
Solutions for Therapy Teams
- Documentation and coding auditing services
- Customized remote pre-bill audit services and client focused improvement action plans build systems for substantive skilled documentation and coding accuracy to support care and billed services.
- Live and web based training focused on evidence based clinical programs, outcome focused care, and rehab provider compliance.
- Compliance Program Consultation and Interim Compliance Officer (CO) services
- Confidential consulting for active medical review, False Claims Act (FCA) investigations and overpayment reporting
- Appeals management and recoupment guidance
- SNF PEPPER and PUF data analysis
- Clinical Program Consultation
- Reimbursement and Management Services
- Patient Driven Payment Model Transition Consulting
- In-house therapy management
Our Consulting Team
Proactive’s therapist consultant team includes licensed PT, OT, and SLP experts with backgrounds as Therapy Operations Directors, Clinical Trainers and Compliance Officers. We assist clients achieve goals in the areas of compliance, clinical quality, payer audit readiness, and appropriate reimbursement.
Have a question? Don’t hesitate to contact us!
Latest News/Blogs
Searching for more blogs, news, resources and more? Click here to read more.
Ask Proactive – We have a resident who we are skilling related to a recent femur fracture. The principal diagnosis is S72.22XD, which maps to the Non-Surgical Orthopedic/Musculoskeletal Clinical Category, but it states “May be Eligible for One of the Two Orthopedic Surgery Categories”. How do we determine if it is eligible for one of the Orthopedic Surgery categories?
Q: We have a resident who we are skilling related to a recent femur fracture. The principal diagnosis is S72.22XD, which maps to the Non-Surgical Orthopedic/Musculoskeletal Clinical Category, but it states “May be Eligible for One of the Two Orthopedic Surgery...
Transitioning from QIES to iQIES for MDS Submission
To comply with federal security mandates, the Centers for Medicare & Medicaid Services (CMS) has initiated new security requirements for access control to CMS Quality Systems through Remote Identity Proofing (RIDP) via the Healthcare Quality Information System...
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